Credentialing Specialist - Fully Remote

Icon Health

1d•$50,000 - $60,000•Remote

About The Position

Currently hiring a fully remote Credentialing Specialist Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care. We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes. At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners.

Requirements

5+ years of credentialing experience in healthcare.
Demonstrated experience credentialing telehealth providers across multiple states.
Experience with payer enrollment and provider credentialing applications.
Familiarity with CAQH, NPDB, NPI registry, and state licensing boards.
Knowledge of telehealth regulatory requirements and multi-state licensure processes.
Strong organizational skills with the ability to manage multiple providers and deadlines simultaneously.
Proficiency in credentialing databases, Microsoft Office, and provider management systems.

Nice To Haves

Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred.
Experience credentialing for virtual care or digital health organizations.
Experience with multi-state Medicaid and commercial payer enrollment.
Familiarity with credentialing platforms such as Modio, MedTrainer, Verity, symplr, or similar systems.

Responsibilities

Manage the full lifecycle of credentialing and recredentialing for telehealth providers across multiple states including:
Verifying provider credentials including state licenses, board certifications, DEA registrations, education and training, work history, malpractice coverage, National Practitioner Data Bank (NPDB) queries
Ensuring credentialing processes meet NCQA, Joint Commission, and CMS standards where applicable.
Maintaining accurate credentialing records in the credentialing database or provider management system.
Tracking and managing state licensure applications and renewals for telehealth providers.
Maintaining a comprehensive database of provider licenses and expiration dates.
Monitoring and ensuring compliance with state-specific telehealth regulations and licensing requirements.
Coordinating payer credentialing and enrollment with commercial and government payers across multiple states.
Completing and submitting payer enrollment applications and maintain follow-up until approval.
Maintaining CAQH profiles and ensure provider information is current and attested
Assisting with credentialing audits and prepare documentation for internal and external reviews.
Collaborating with provider recruitment, medical staff services, compliance, and operations teams to ensure timely onboarding.
Providing credentialing status updates to internal stakeholders.
Assisting providers with documentation requirements and application completion.
Maintaining credentialing data in provider management systems.
Generating reports on credentialing status, expirations, and compliance.
Monitoring credentialing timelines to ensure providers are approved before service delivery.